NPI 1336508191 · live from the CMS NPI Registry
Thomas Grebouski, PhD, BCBA-D
Counselor, Mental Health in Rye, NH. National Provider Identifier 1336508191, active.
NPI record
| NPI | 1336508191 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Counselor, Mental Health 101YM0800X |
| Practice location | 1247 Washington Rd Ste 25, Rye, NH 03870 |
| Practice phone | 603-674-4267 |
| Mailing address | Po Box 342, Berwick, ME 03901 |
| Enumerated | February 22, 2016 |
| Last updated | July 13, 2018 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst | 103K00000X | 1-13-12797 (NH) |
| Counselor, Mental Health primary | 101YM0800X | 344 (NH) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.